BODI GRAYSON WALLACE NPI 1609624881

NPI Information

  • NPI: 1609624881
  • Provider Name: BODI GRAYSON WALLACE
  • Classification: Homemaker - 376J00000X
  • Entity Type: Individual
  • Address: 5408 MORNING GLORY ST
    SOUTH BLOOMFIELD, OH
    ZIP 43103
  • Phone: (740) 497-6108

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NPI Details

Bodi Grayson Wallace is a homemaker in South Bloomfield, OH. The provider is an individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards. Bodi Grayson Wallace NPI is 1609624881. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5408 MORNING GLORY ST
SOUTH BLOOMFIELD, OH
ZIP 43103-518
Phone: (740) 497-6108

The enumeration date for this NPI number is 5/11/2024 and was last updated on 5/11/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1376J00000XHomemakerYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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